![]() ![]() Any documentation of specialists’ reports or evaluations, any pertinent previous diagnostic reports and therapy notes.Progress notes including symptoms and their duration, physical exam findings, conservative treatment that the member has completed, preliminary procedures already completed and the reason service is being requested. ![]() Include the following required documentation: The Provider Portal is the most efficient method of submitting appeals. You can submit appeals through our Provider Portal or using the Navigate Provider Appeal Form. If you have not received an authorization denial from the CareSource Utilization Management Department for a service that requires a prior authorization, you must submit a retro-authorization request to the CareSource Utilization Management department prior to filing a clinical appeal. Member consent is not required for post service requests. You have 180 days from date of service, discharge or authorization denial to submit a post-service appeal.
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